AU2008269683B2 - Use of estriol in low doses - Google Patents

Use of estriol in low doses Download PDF

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AU2008269683B2
AU2008269683B2 AU2008269683A AU2008269683A AU2008269683B2 AU 2008269683 B2 AU2008269683 B2 AU 2008269683B2 AU 2008269683 A AU2008269683 A AU 2008269683A AU 2008269683 A AU2008269683 A AU 2008269683A AU 2008269683 B2 AU2008269683 B2 AU 2008269683B2
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estriol
dose
day
use according
administration
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AU2008269683A1 (en
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Alvaro Acebron Fernandez
Dolores Blanco Lousame
Jaime Moscoso Del Prado
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ITF Research Pharma SL
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    • AHUMAN NECESSITIES
    • A61MEDICAL OR VETERINARY SCIENCE; HYGIENE
    • A61KPREPARATIONS FOR MEDICAL, DENTAL OR TOILETRY PURPOSES
    • A61K31/00Medicinal preparations containing organic active ingredients
    • A61K31/56Compounds containing cyclopenta[a]hydrophenanthrene ring systems; Derivatives thereof, e.g. steroids
    • A61K31/565Compounds containing cyclopenta[a]hydrophenanthrene ring systems; Derivatives thereof, e.g. steroids not substituted in position 17 beta by a carbon atom, e.g. estrane, estradiol
    • AHUMAN NECESSITIES
    • A61MEDICAL OR VETERINARY SCIENCE; HYGIENE
    • A61PSPECIFIC THERAPEUTIC ACTIVITY OF CHEMICAL COMPOUNDS OR MEDICINAL PREPARATIONS
    • A61P13/00Drugs for disorders of the urinary system
    • AHUMAN NECESSITIES
    • A61MEDICAL OR VETERINARY SCIENCE; HYGIENE
    • A61PSPECIFIC THERAPEUTIC ACTIVITY OF CHEMICAL COMPOUNDS OR MEDICINAL PREPARATIONS
    • A61P13/00Drugs for disorders of the urinary system
    • A61P13/02Drugs for disorders of the urinary system of urine or of the urinary tract, e.g. urine acidifiers
    • AHUMAN NECESSITIES
    • A61MEDICAL OR VETERINARY SCIENCE; HYGIENE
    • A61PSPECIFIC THERAPEUTIC ACTIVITY OF CHEMICAL COMPOUNDS OR MEDICINAL PREPARATIONS
    • A61P15/00Drugs for genital or sexual disorders; Contraceptives
    • AHUMAN NECESSITIES
    • A61MEDICAL OR VETERINARY SCIENCE; HYGIENE
    • A61PSPECIFIC THERAPEUTIC ACTIVITY OF CHEMICAL COMPOUNDS OR MEDICINAL PREPARATIONS
    • A61P15/00Drugs for genital or sexual disorders; Contraceptives
    • A61P15/02Drugs for genital or sexual disorders; Contraceptives for disorders of the vagina
    • AHUMAN NECESSITIES
    • A61MEDICAL OR VETERINARY SCIENCE; HYGIENE
    • A61PSPECIFIC THERAPEUTIC ACTIVITY OF CHEMICAL COMPOUNDS OR MEDICINAL PREPARATIONS
    • A61P5/00Drugs for disorders of the endocrine system
    • A61P5/24Drugs for disorders of the endocrine system of the sex hormones
    • A61P5/30Oestrogens

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  • Health & Medical Sciences (AREA)
  • Public Health (AREA)
  • Medicinal Chemistry (AREA)
  • Life Sciences & Earth Sciences (AREA)
  • Pharmacology & Pharmacy (AREA)
  • Chemical & Material Sciences (AREA)
  • General Health & Medical Sciences (AREA)
  • Veterinary Medicine (AREA)
  • Animal Behavior & Ethology (AREA)
  • Engineering & Computer Science (AREA)
  • Organic Chemistry (AREA)
  • Bioinformatics & Cheminformatics (AREA)
  • General Chemical & Material Sciences (AREA)
  • Nuclear Medicine, Radiotherapy & Molecular Imaging (AREA)
  • Chemical Kinetics & Catalysis (AREA)
  • Epidemiology (AREA)
  • Endocrinology (AREA)
  • Urology & Nephrology (AREA)
  • Reproductive Health (AREA)
  • Diabetes (AREA)
  • Gynecology & Obstetrics (AREA)
  • Pharmaceuticals Containing Other Organic And Inorganic Compounds (AREA)
  • Medicinal Preparation (AREA)

Abstract

Use of low doses of estriol via the vagina for treatment and/or prevention of urogenital atrophy due to oestrogen deficit in women.

Description

USE OF ESTRIOL IN LOW DOSES 33vgnl ro w i h peoto 'nd/o the K Kneh a o' 3' <K 0gW''<' '33'KK' ' I''' ''3a w r y is K 3 '''y' '3 ' tK aK g}' a3Mr'gVIn 1macterAc t e e i pa"'3' K t'K;' '1;no o 2K re 31K; r 3: an e ia uoa K' K a p y v c s w n. nw3 eas 'K cKI~ f I c 1 33hra V K? ki'3'' '''' 3 3 'K th q 33lk at life's o 3 33, wo an is K 3 2' u K' d eK 33 K 3 3 K' iK t3 'l Kc l 3n vile33 '3nI d &ISO1 inK -tp r3 O t mKn su3h as 1h _- .,e .. J '33'nva 3t o h s als 3, 1 ,3n' <2" ' 35 ~ ~~~~~~~~~~~ <K n lc -. t cuay wt o ta w 3'~n 3 U K'' e') of 3 e ur th 3K'''f 3,3'_ 31 '' "''' 3' 2 cadoasua .?:s n -ysn te rsk OF ulferlSA Due>3 0 0 LIMM aS a S CO 9 edn c03 31.5923. andl patientsfl" "'3' cninu3ous~cl.y demaL3 y1,. in'> or'j case of Yot'a 9>2333321 3'3 L e : . 3.'' m3 s 3A0A3 by'A' '' 'ACL is' 220 1> ay n310Q03.A.. ''K S~ aiv i t h 1diita o of KSr n by vagna rout. However,37 '3) YOU'A nt riskfre sinc 1 o, a.' I l3 A 1.3 1onono could~ '''14 on unane enfltria Qnl 3 jai~ MCA3A'3> K thi hyeplsa inK> the eyn W Di osdeal, ol deeea' in , cancer.. 9 Es3'o A<3'3 cuo }F :he estrgen 1 t3, uroanta au*3:ph1' ;',r:>3tiw'.e. W sdoe i h vni cn iAW~ unnecessary{ cc Menow in G A c 1-nion th <''33' ,.n-n 'K o- 31-yond 3, c, n" ---~ ~ ~ ~ A- -- -- -- --. .. .... on C~ 3 as 0( V' e'. s '73 C1 e0 '3', s ro , ca 33:J m ~ SCC 1 r''> a3'' ' rA i ( rio1 for':n e,, i n a_:,/ of urgeit l <'tt9<"' whc pivd boL sa<e' <' and A.i 3i 3or < ce e by dotos n j3 it/ 3' rt3 A"'su tn i raw, 35 e' t~ fl<33> f ,i r,- Oe -aL n ec S CO e' t K 0 e c tt . s' a t ~~~~~r-. ' 0 'iic > t n t ' t t; c tha 2 - z t i t i es 1ia All ' 10 '2 if a iti fo 'Iqna $W Or~ o the pre, i ""' 't('i c Ci of -Ur t t] a7> .4' 42 c" 1 V' jt n I en n W sai /.I ;Adn Ii. "'c at cistne ci- th t W tot rve v ............ It t ...... ................ c fl lt a i. F, -r-'' v 'tf o I- t' h, ''f~c~ 'i - I i cu4in n 'w>'il I s an''' act vc ca bioC- " tPl > "cici'''ll&Iy lot dose an '1 i' IF Lc [vi' OlV V ci vt~i- '- Pitt or ,- C>n r x n -- n c;n r s m ' l 'k .' dC'" a ,h7' ' _"1 An r"oKan .4...".h ~eet varKLo s Cseial lo doe of VanI whc on 10 nd K tv 3oml U r deie C n Me ivnioai wih ay fetv fan' th ra metC'rbjn nla ro ' a ~ ~ ~ ~ 4 patcua ..7 e t. eatril i di ~ rd i oe eg tn r eul t . atro<tK. 110 1, ~ef rre elSCI MIviL rV.01"n U kio 'Is Cf estr'' indoesle' Another C' ""'A''l in'; do e we .0 w Mohr n4rr.J use~~~~~~~~~~~~A mTati!i oe O mo,0 2adK w d.10ai Xg/aA) 20 Surprisingly, when u~ing e w Q i uh o cn M, daily andfo> Phs-e Migades of the regimen O~~~~~Fadiitain o sr-1 W 1e vs m p 3vry a ''m " th 7' ml o lgm lalaauh sever al il lustrativwe examples of the invention are described below. In no case mst they be considered an 1 initing for the interpet Exaroles The ficc o the use of low doses of estrial in th, treatnr&n of- urogenital atrophy in hw hog h olwn in vivo asscvs, 10 Two fannulations worn rested in ti tdec fte containing 0.005% (W/w) of estrial. To dissolve nhe active ingredient, a stocksouon f estriol in glycerin. was pmeparec. 00T that en d, 25 mg of 15 owa, stirred for hour and the complete dissolutimn ofesio was verified, To prepare the foriBulal-W'1 tin cram WErmulatwor 1' , on one hand 20 q of Neo PCL o/w self-eusivna bas inanetnl aqueous phase were heated at V54C under magnetic stirring, 20 whramo h thrhnd4 fn o ronopol wredisvdin7 under continuous stirring, the temperature was reduced antil reaching 30N. Without stopping the stirring, 10 grams of the 25 pr osy prepared solution of estriol in glycerin we1m added, to obtain a 0.005% estrial formulation with the folIlowing -ComposiAtCion, Component...................................... . Amount [Neu PCL ow sei emlsa c To 1rear thgomlaini el (rmlim23 40 ilugo 3J Brnompol were Gl~solved .1n 88 ml of jur'L ^Led war~ev alN .2 g E Copoen Amount ...... . .... .. .. . .. .. . .. .... .... ......... ... V 11< ............. .... . ...... ..... ... ... .... . .... ...... ............ jp nle a e-M ..... ..... ..... .... .. ... .. --- -- - - - log'' ( ma ee pedU KKnnediK by .mcans t U agna elVage te an ee iend d5K)L}C stained with the Papaniolau technque The** efecH..:h eamnt. .. wit eaho Ktih fonvKnulatKin Ue) ieU))infat if orx th PC: i--. U ation findeC K e VagilK .I. K K UK and the ievau t he :.. K ouvetal t : :. Th resu L' a obtie ar-hw in t e lwigabe Day 0 Animal MI Cornified Overall ________C-B code B I C cells trophism Al A2 A3 A4 8 2 ... . . ...... . . ..-...... ... - - - ----------..... ............ B2 B 3 Day 5 Animal MI Cornified Overall C-B code B I C cells trophism Al J 6 A4 6 Y ... B..I. . . . ... .. ... ... .. .. B2 B43 B2r tn tt .. . . : ~ q ..... V Presence of cornified .H cells .. .... ... Overall trophism .> 1'7 . . .. . . . . . . . . . . . . oU~ L of O UMI 0 W eb 1C Sa tnn th Us L~w~y sed ada roess te vgna 1~y cn vo i h as K bt g~~~mvw,~~U th nemv fCriidadin m m ecls m matrskon nde euro<ii' pyopmed~~~~ I in te peen neton wl lo a hrp<' IJCW)h t m Cretn . . . . . . .. . .
Adl fml vretnsd Wsa ros h d. n 3' or the s a.. Y in "0 cnrled. 121"0 PotAri 13 / 2 It '3't da kn ss oilC Pl'o3 *asure'C " Thy wl e gie tnar it fr.as ed i 3' o l r , SU P ....- '-; He a <A'"' 3. arm N3' " C ~ '>'3'3'' d <AK libitum access to drikin wate (dikal 3ae o pb Gop P Al 2 K' tra te r w 1.t A RefaranC . ' n< Af lik C> '' C ' 3 ~ t 0000 animal a.-" 1q> '3>))') Tain 603 o wn n ad ?5-;a' A'' 'go' inC3 Ah A's "F 'C"" the3 re e a c ab tn o ( V o tn (" ' ''A J '3 Takin 60 '3 MY3mn Dd 30 g T r rtnN n aear: <'" A' As A'A 35 ) 3h n see to'' each Cnial of Gop3t ri , w eon a :<3' r -.- 1 A C'' ''> 3 ' r" 3 p E l V ec ive 2 '''tt e' 3 fer DA M A Gel -32; 0.02A 02 of es n Ai10qo gel /yr of KY.- 1,g c g&3 0.1 Ovsio of2 ustim mm 100 W 2x (J~ 2 ' ;r2 Thrfre ayK cie Mgeln G2 <'q es<,n 1. '2 25 212 m2' in 0 1 Z2et a . g n t o :V (2Gnro grou Li -lse hc a iA a m ~ a i. 3' h o k 5 oy d jn o v s tn *'a 2 AT t < 'W r 3 2,n<, th , uni2ma3ls, 2z &: - 36 phan <'2s 'I d y <"2 vo os M r ow nt o k I'''3'>. 01"z< '2' "< '3 I' 2'' '< 25' The <hi 'lns la t 1 & doy2 '2 - t2'3 2 3 Mim 2h 22(<t admnl ra mn222 W; W e a aK n 0'rqK SIM'a V<< ( 3 to Vo if 3 S me Pc~ )2 'on 2 L A9 mi 3'. 2 m,,u . PU Aden A! 3h "a2o 2A Kha 2<,ha 3nd th vaginal , < ; ''Kmh ym i an st lm 'w~a m to Mi '' C 3J~ 23, (;''< , ( ;~t >2' F! <s don of t" co nar3n ,a 32O a't :a 2< 5. <2 a~3 2< e/ 3 22o aaM 32 rs"2gr u . Th s;'ii tato I1 " Afte .ni pro ha elpetedsg iscan' dt weky diisrtin n l te GousAB ad H ".'O tro : Piaeh , 0.002 Gol n for 2 weeks health 1e**' of 2 w~ i changed ~ ~ ~ ~ ~ ~ ~ ~ .' ti a wokyamnsrto n l h ia ,fro, week.~' "73in NI eid o nta epne M Nrn 3 CoseU .V Anol a* vaia <7l i efr d i l h da ic'sv ) Carepnln 1 ha a'.nlhar3.q i 1 S' ..- hen Vn day i ,twet - y Yu1So e Fron tnis point onwrdz aia mey'r prond i 15 ap th arI '0 ' evry dv --- -------- > ~ -- 'Y4 i&t '
-------
~~iL~~~~I FI<21 T mi ~~Lt ~inh KTiT J- Nw 0 (N _ _ rlF H fLn in " F H0 N 4 ..... .. .i C.4FH Ti~~ (ijN{TiT [a W (0 rO 4 ... ----------- -- El H _ 4 ,C FN L T Fsaasc s 13 Mean values of the qualitative analysis organized by type of treatment and duration Arithm. Arithm. CONTROL mean PLACEBO mean Baseline 0.00 Baseline 0.00 2d 12 2d 180 3d 1 3d O 4d 16d 40 Ed l.4 d. 25d 100d 4d 40 6 3. 00 3d 240 3d 2.80 740 8d 41 00 16d 1.40 19d D 20 49 1.2 22d 1.022d1 25d 2501 2 10 28d 20 28d 1.0 312 0 31d 34 d . 0 346 100 37d Ge37d 0.40 40d .8 40d 0.40 43d 0.60 43d 0.20 46d D46l 08 0 49d D. 20 49d 20F0 14 Arithm; Arithm. Arithm, DOSE 1 mean DOSE 2 mean DOSE 3 mean Baseline 0.00 Baseline 0.00 Baseline 0.00 2d 2 00 2d 2 40 2d 2.80 3d 80 3d 3 00 3d J.00 4d 00 4d 00 4d 3.00 5d 5d 3 00 5d 3.00 60 6 0 6d 3.00 7d 3.00 7d 3,00 7d 3 00 8d 3 00 8d 3 00 8d 3 o0 16d 3.00 16d 3:0 16d now 19d 2 40 19d 0 19d 2.80 224 60 22d 22 .80 254 254 MCI0 25d 2,60 28d 2 0 28d 3.00 28d 3.00 31d 2.00 31d 2.60 31d 2.60 34d 60 34d 2 8 rj 0 34d 2 20. 37d 160 37d 2.20 37d 2 .60 40d 0 0 40d 2D 43d d,0 43d 1 42d 46d .60 46d 46d 1.40 49d 00 49d 1.60 49d 1.60 In he controL (silm u1aia o n and P 1a cebo groups Im a inLermedia te top of erect in Wise rved between days 2 and 8a good trophism be ng observed between days 4 and (ony nsmedays) Tn A increasemhve a ccmtr buto'n duo zo the Mechan ca ef fectofte cua cy oil sample taking, u<L as the subsequent r i n 0 ~ i Aor due to a "habituation" ordeenitzaio to said mhanical effect as nas beeni obsrvd n peiu tde seet Tables 8 and 9) , n ti grop S o w 1h i h s Ubsj t ancs w th estr ie are 115 obere bew e 4an 2 nd 3 . Fom ciS P iiU p, raphY onadn wJ 1 te So of Ae difernt asay UN e Fe v n susane (day .3 6 wa h.at3yo ~nita o in 4sTeeoevr A~aMP ohv anlto ver low doe f.t3' w~ gposbet~ r e rvn ig teUIrc s f Y':' /3rolni a '4G h ndp o i in : A '.3 71 ~'~c>~KF c H 4) Co< ~ N >t 0 V ..t- ... ..... ..... .. .. H H I Hr o C 1c :vL M5 a -'! Wi N -1 'C aND EaVcTIao 17 Mean values of the quantitative analysis organized by type of treatment and duration CONTROL Arithm. mean PLACEBO Arlthm. mean Baseline -92 jO Baseline 2d -i400 2d -10.0 3d -08.00 3d -G >0 4d 18.00 4d 6.00 5d 18.0>0 5d -22>00 6d -600 6d 34.00 7d 18080 7d 22>00 Sd 22.00 Sd -6200 16d -6>00 16d -22, 0 19d -4 <00 19d -34 00 22d 40 ( 22d -4>,00 25d - "00 25d -0 00 28d -2 28d -42>00 31d -50 31d -48000 34d -54 34d ~70>00 37d - >, 00 37d --- 2 00 40d -72 %0 40d -80000 43d 7- 7600 43d -84>00 46d -7 61 46d -7200 49d 80 49d -0600 Ari thm. Ar. thm Arithm, DOSE I Mean DOSE 2 DOSE 3 Baseline Baseline 94 Baseline 96.00 2d 2d 2600 2d 42 3d 8 3d 42, 3d 4d620 4d 4d 50.00 5d 48,0 5d 46,0 5d 6400 6d 6 6d 0 d 6 7d 50 0 7d 5C, 7d 862. 86 ,, d '7400 16d 5.0- 16d 16d 0 19d 1 19d 19d 40 22d 226 -0 b 22d 48 25d 25d 0 25d 2.0 28d 28d . 28d 31d *-6O 31d 22.00 31d 2 o 34d -2600 34d 34d 37d -18 0 376 0 37d 40d 4. 0 0 40d 402 43d 0 0 43d 43d 2 46d 0D 46d 6 46d 49d -0 0 49d 49d The reut sa ar v N e C tt se J. to K K I c n r ( im io d p br s id Fow b Cw e d a go bing bsem d s 4 hiKs eKrsrae w t t' m ap erac y administration until day 15. Afterwards, a fluctuation between good trophism and intermediate arophisn is observed, resulting in an ineredatea trophis macition Froma day 37 of the ntudy (day 36 was the last day Of admilnisr.raton, reaching a hyaO-crph.nc nio fccm day 40, The rest of the gro mmups airing estrial (dos> 2 (0,l pg estriol) and dose 3 (2.9 pg estrici . have a similar 10 36. On day 37 for dose 3 there is good tropasm whereas for dose 2 there is intermediate trhpism In dose 2 a hypotrophy condition is acquired one day smaor than fr done 3.

Claims (7)

1.- Use of estriol in the preparation of a pharmaceutical composition for vaginal administration for the prevention and/or the treatment of urogenital atrophy due to estrogen deficit in 5 women, wherein said composition is administered such that the patient receives a dose of estriol less than or equal to 0.3 mg/day and wherein the administration is daily or in a regimen of once every two days, once every three days or once a week, for at least 3 weeks. 10
2.- Use according to claim 1, wherein the patient receives a dose of estriol less than or equal to 0.1 mg/day.
3.- Use according to claim 1, wherein the patient receives 15 a dose of estriol between 0.002 and 0.05 mg/day.
4.- Use according to claim 1, wherein the patient receives a dose of estriol between 0.02 and 0.05 mg/day. 20 5.- Use according to any of the previous claims, wherein the administration is daily for at least 3 weeks.
6.- Use according to claim 5, wherein the administration is daily for at least 30 days. 25
7.- Use according to claim 5, wherein the administration is daily for at least 60 days.
8.- Use according to claim 5, wherein the administration is 30 daily for at least 90 days.
AU2008269683A 2007-06-25 2008-06-25 Use of estriol in low doses Active AU2008269683B2 (en)

Applications Claiming Priority (3)

Application Number Priority Date Filing Date Title
ESP200701755 2007-06-25
ES200701755A ES2310968B1 (en) 2007-06-25 2007-06-25 USE OF ESTRIOL IN LOW DOSE.
PCT/ES2008/000450 WO2009000954A2 (en) 2007-06-25 2008-06-25 Use of estriol in low doses

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AU2008269683A1 AU2008269683A1 (en) 2008-12-31
AU2008269683B2 true AU2008269683B2 (en) 2013-06-06

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US (1) US8273730B2 (en)
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JP (1) JP5623273B2 (en)
KR (1) KR20100036337A (en)
CN (2) CN104739842A (en)
AU (1) AU2008269683B2 (en)
BR (1) BRPI0813947A2 (en)
CA (1) CA2689335C (en)
CO (1) CO6251259A2 (en)
EC (1) ECSP099826A (en)
ES (2) ES2310968B1 (en)
MX (1) MX2009013427A (en)
RU (1) RU2483734C2 (en)
WO (1) WO2009000954A2 (en)

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US20090318401A1 (en) 2009-12-24
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US8273730B2 (en) 2012-09-25
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CA2689335A1 (en) 2008-12-31

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